The Effect Of Pregnancy Exercise Use Of Birth Ball On Pain Perceptions and Self Efficacy On Primigravida During Labor
Abstract
Pregnancy and childbirth are continous process of human reproductive. During pregnancy there is imbalance hormone induce physical changes and also psychological. Pregnancy exercise is one way to maintain the health of pregnant women and to prepare physically and mentally to achieve the birth. Counseling in pregnancy is important to increase self efficacy dan coping pain labor. Exercise pregnancy use birth ball may facilitate self efficacy during childbirth and capacity to cope pain labor. This study aims to analyze the effect exercise pregnancy use birth ball to pain perceptions and self efficacy on primigravida during labor. The research method use Quasi Experiment with pretest-posttest control grup design, with the sample of 34 respondent. Sampling technique were counsecutive sampling devided by random permuted blocks. Pain perceptions assessment using VAS and self efficacy assessment using questionnaire adapted from CBSEI. The statistical test using Mann-Whitney tests and chi square test. The research showed that there is effect exercise use of birth ball on pain perceptions (p=0,004), and self efficacy (p=0,000). The Conclusion of this study is implementation of exercise pregnancy use birth ball effective to reduce pain perceptions and improve childbirth efficacy among women in labor. Pregnant women have high self efficacy, they have lower pain perceptions.
References
2. Pravikasari NA. Perbedaan Senam Hamil Dan Teknik Akupresur Terhadap Penurunan Nyeri Punggung Bawah Pada Ibu Hamil Trimester III. Jurnal Ilmu Teknologi Kesehatan BHAMADA. 2014;5(1):11
3. Lowe NK. Maternal Confidence In Coping With Labor. JOGNN.20(6):7
4. Lowe NK. Maternal Confidence for Labor: Development of the Childbirth Self-Efficacy Inventory. Researching Nursing & Health.16:9
5. Neill J. Definitions of Various Self Constructs Self-esteem, self-efficacy, self-confidence & self-concep. Psychology of Growth Outdoor Education & self constructs 2005; http://www.wilderdom.com/self/
6. Lowe NK. Explaining the Pain of Active Labor: The Importance of Maternal Confidence. Researchin Nursing & Health.12:9
7. Krans EE, Gearhart JG, Dubbert PM, Klar PM, Miller AL, Replogle WH. Pregnant women’s beliefs and influences regarding exercise during pregnancy. Journal of the Mississippi State Medical Association;46(3):67-73
8. Attanasio LB, McPherson ME, Kozhimannil KB. 2014. Positive childbirth experiences in U.S. hospitals: a mixed methods analysis. Matern Child Health J. Jul 2014;18(5):1280-1290
9. Budihastuti, Hakim, Kadarsih S. Konseling dan Mekanisme Koping Ibu Bersalin. Journal of Educational, Health and Community Psychology. 2012;Vol 1(No. 1):27
10. Ahmadi Z, Torkzahrani S, Roosta F, Shakeri N, Mhmoodi Z. Effect of Breathing Technique of Blowing on the Extent of Damage to the Perineum at the Moment of Delivery: A Randomized Clinical Trial. Iranian journal of nursing and midwifery research. Jan-Feb 2017;22(1):62-66.
11. Yuksel H, Cayir Y, Kosan Z, Tastan K. Effectiveness of breathing exercises during the second stage of labor on labor pain and duration: a randomized controlled trial. Journal of Integrative Medicine. 2017;15(6):456-461.
12. Simkin P, Bolding A. Update on Nonpharmacologic Approaches to Relieve Labor Pain and Prevent Suffering. Journal of Midwifery & Women’s Health Volume 49(No. 6):16.
13. Sekendiz B, Cug˘ M, Korkusuz F. Effects of Swiss-ball core strength training on strength, endurance, flexibility, and balance in sedentary women. Journal of Strength and Conditioning Research. 2010;24(11):9
14. Maryani T, Estiwidani D. 2017. Terapi Birth Ball Berpengaruh Terhadap Lama Kala II Dan Intensitas Nyeri Persalinan Pada Ibu Bersalin Primigravida Di RB Kasih Ibu Yogyakarta. Jurnal Kesehatan Ibu Dan Anak. 2017;Vol. 10(No. 2):6
15. Kwan WS, Sze-wing, LI W-h. 2011. The Birth Ball Experience: Outcome Evaluation of the Intrapartum Use of Birth Ball. Hong Kong J Gynaecol Obstet Midwifery. 2011;11:6
16. Attanasio LB, McPherson ME, Kozhimannil KB. Positive childbirth experiences in U.S. hospitals: a mixed methods analysis. Matern Child Health J. Jul 2014;18(5):1280-1290
17. Gau ML, Chang CY, Tian SH, Lin KC. 2011. Effects of birth ball exercise on pain and self-efficacy during childbirth: a randomised controlled trial in Taiwan. Midwifery. Dec 2011;27(6):e293-300
18. Leiferman J, Gutilla M, Paulson J, Pivarnik J. Antenatal physical activity counseling among healthcare providers. Open Journal of Obstetrics and Gynecology. 2012;02(04):346-355
19. Ip WY, Tang CS, Goggins WB. An educational intervention to improve women's ability to cope with childbirth. Journal of clinical nursing. Aug 2009;18(15):2125-2135.
20. Byrne J, Hauck Y, Fisher C, Bayes S, Schutze R. Effectiveness of a Mindfulness-Based Childbirth Education pilot study on maternal self-efficacy and fear of childbirth. J Midwifery Womens Health. Mar-Apr 2014;59(2):192-197
21. Schwartz L, Toohill J, Creedy DK, Baird K, Gamble J, Fenwick J. Factors associated with childbirth self-efficacy in Australian childbearing women. BMC pregnancy and childbirth. Feb 13 2015;15:29.

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Please find the rights and licenses in Jurnal Ilmiah Bidan (JIB). By submitting the article/manuscript of the article, the author(s) agree with this policy. No specific document sign-off is required.
1. License
The non-commercial use of the article will be governed by the Creative Commons Attribution license as currently displayed on Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
2. Author(s)' Warranties
The author warrants that the article is original, written by stated author(s), has not been published before, contains no unlawful statements, does not infringe the rights of others, is subject to copyright that is vested exclusively in the author and free of any third party rights, and that any necessary written permissions to quote from other sources have been obtained by the author(s).
3. User/Public Rights
JIB's spirit is to disseminate articles published are as free as possible. Under the Creative Commons license, JIB permits users to copy, distribute, display, and perform the work for non-commercial purposes only. Users will also need to attribute authors and JIB on distributing works in the journal and other media of publications. Unless otherwise stated, the authors are public entities as soon as their articles got published.
4. Rights of Authors
Authors retain all their rights to the published works, such as (but not limited to) the following rights;
- Copyright and other proprietary rights relating to the article, such as patent rights,
- The right to use the substance of the article in own future works, including lectures and books,
- The right to reproduce the article for own purposes,
- The right to self-archive the article (please read out deposit policy),
- The right to enter into separate, additional contractual arrangements for the non-exclusive distribution of the article's published version (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal (Jurnal Ilmiah Bidan).
5. Co-Authorship
If the article was jointly prepared by more than one author, any authors submitting the manuscript warrants that he/she has been authorized by all co-authors to be agreed on this copyright and license notice (agreement) on their behalf, and agrees to inform his/her co-authors of the terms of this policy. JIB will not be held liable for anything that may arise due to the author(s) internal dispute. JIB will only communicate with the corresponding author.
6. Royalties
Being an open accessed journal and disseminating articles for free under the Creative Commons license term mentioned, author(s) aware that JIB entitles the author(s) to no royalties or other fees.
7. Miscellaneous
JIB will publish the article (or have it published) in the journal if the article’s editorial process is successfully completed. JIB's editors may modify the article to a style of punctuation, spelling, capitalization, referencing and usage that deems appropriate. The author acknowledges that the article may be published so that it will be publicly accessible and such access will be free of charge for the readers as mentioned in point 3.